Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Study Guide | Complete Guide with Verified Answers| (2023/2024) New Update |Chamberlain

Final Exam: NR224/ NR 224 Fundamentals – Skills Final Exam Study Guide | Complete Guide with Verified Answers| (2023/2024) New Update |Chamberlain Q: factors that influence pulse ox Answer: -outside light -jaundice -dark skin pigmentation -patient motion -carbon monoxide poisoning -intravascular dyes Q: factors influencing blood pressure Answer: Age Stress Ethnicity Gender Daily variation Medications Activity and Weight Smoking Q: risk factors for orthostatic hypotension Answer: -dehydration -anemia -prolonged bedrest -recent blood loss -medications Q: orthostatic hypotension Answer: low blood pressure that occurs upon standing up Q: vital signs Answer: temperature pulse respirations blood pressure pain Q: Braden Scale Answer: A tool for predicting pressure ulcer risk -lower the number the higher the risk Q: Stages of pressure ulcers Answer: -stage I - persistent redness; skin is intact with visible, nonblanchable redness over a localized area, typically over bony prominence; changes in skin temperature, tissue consistency and sensation (pain, itching) -Stage II - involves the dermis with partial thickness loss which presents as shallow open ulcer that can be shiny or dry; can also present as a blister that is intact or open/ruptured; wound bed is red pink color without slough or bruising -Stage III - full thickness tissue loss with subcutaneous fat possibly visible; bone, tendon or muscle are not exposed or directly palpable -Stage IV - full thickness tissue loss with bone, tendon, or muscle visible Q: unstageable pressure ulcer Answer: base of ulcer covered by slough and/or eschar in the wound bed. Q: wounds heal by what kind of intention? (3) Answer: primary secondary tertiary Q: Primary intention healing Answer: Occurs where the tissue surfaces have been approximated, and there is minimal or no tissue loss Q: Secondary intention healing Answer: Occurs in a wound that is extensive, and edges cannot be approximated Q: Tertiary intention healing Answer: Wound is left open for 3-5 days to allow edema or infection to resolve